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1982906517
KATIE ARIEL DIERSHAW
PORTLAND, OR
NPI
1982906517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-12-02
Last Update Date
2010-12-02
Business Address
-- KATIE ARIEL DIERSHAW MS
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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Mailing Address
-- KATIE ARIEL DIERSHAW MS
14600 NW CORNELL RD
PORTLAND, OR 97229-5442
Phone number: 503-645-3581
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